NPI Details
DR. Peter P Rullan, M.D. is a procedural dermatology dermatology in Chula Vista, CA with 47 years of experience. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). DR. Peter P Rullan, M.D. NPI is 1114963170. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Graduation Year:1979
The provider's business location address is:
256 LANDIS AVE
3RD FLOOR
CHULA VISTA, CA
ZIP 91910-650
Phone: (619) 426-9600
Fax: (619) 426-4112
The NPI 1114963170 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg (HCPCS:J7345)
- Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- Destruction of precancer skin growth, 1 growth (HCPCS:17000)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Destruction of skin growth, 1-14 growths (HCPCS:17110)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Biopsy of related skin growth, first growth (HCPCS:11102)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks (HCPCS:17311)
- Injection into skin growth, 1-7 growths (HCPCS:11900)
- Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Simple or single drainage of skin abscess (HCPCS:10060)
- Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks (HCPCS:17312)
- Biopsy of related skin growth, each additional growth (HCPCS:11103)
- Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
- Injection into skin growth, more than 7 growths (HCPCS:11901)
- Injection, fluorouracil, 500 mg (HCPCS:J9190)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks (HCPCS:17313)
- Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less (HCPCS:12051)
- New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
- Destruction of skin growth, 15 or more growths (HCPCS:17111)
- Biopsy of ear (HCPCS:69100)
- Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm (HCPCS:12052)
- Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
- Punch biopsy, first skin growth (HCPCS:11104)
- Administration of chemotherapy into growth, 1-7 (HCPCS:96405)
- Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks (HCPCS:17314)
- Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less (HCPCS:12031)
- Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less (HCPCS:12041)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 6/20/2006 and was last updated on 3/7/2013.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207N00000X | Dermatology | | G42243 | CALIFORNIA | No |
| 2 | 207ND0101X | Dermatology | MOHS-Micrographic Surgery | G42243 | CALIFORNIA | No |
| 3 | 207NS0135X | Dermatology | Procedural Dermatology | G42243 | CALIFORNIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | A89753 | MEDICARE UPIN | CALIFORNIA | |
| 2 | ZZZ73699Z | MEDICAID | CALIFORNIA | |
| 3 | W1051 | MEDICARE ID-TYPE UNSPECIFIED | CALIFORNIA | MEDICARE |
